Individual
DELICIAH SMITH-BLANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN, MSW
Contact information
Practice address
2489 DIPLOMAT PKWY E, CAPE CORAL, FL 33909-5422
(239) 652-1800
Mailing address
PO BOX 9381, FORT MYERS, FL 33902-9381
(239) 270-8806
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
ISW12837
FL
1041C0700X
Clinical Social Worker
Primary
ISW12837
FL
164W00000X
Licensed Practical Nurse
1308881
FL
Other
Enumeration date
02/12/2025
Last updated
02/13/2025
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